Ryan Malcom (NPI# 1992898217, PAC ID# 3274662689) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1992898217 |
| PAC ID by PECOS | 3274662689 |
| Professional Enrollment ID | I20100524000498 |
| Full Name | Ryan Malcom |
| Organization Legal Name | FOUNDATION FOR OUTREACH SERVICES |
| Address |
326 W 64th St Chicago IL 60621-3114 |
| Phone Number | 7739623900 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1996 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 3375507163 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140103 | ST BERNARD HOSPITAL |
| 140206 | NORWEGIAN-AMERICAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 326 W 64th St, Chicago, IL 60621-3114 | 7739623900 | FOUNDATION FOR OUTREACH SERVICES |
| 3412 W Fullerton Ave, Chicago, IL 60647-2416 | 7735742553 | |
| 3412 W Fullerton Ave L, Chicago, IL 60647-2416 | 7732358000 | FULLERTON KIMBALL MEDICAL GROUP PC |
| Organization Legal Name | FOUNDATION FOR OUTREACH SERVICES |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica L Frith | Nurse Practitioner | Foundation for Outreach Services | 326 W 64th St, Chicago, IL 60621-3114 |
| Vietta Louise Johnson | Orthopedic Surgery | Foundation for Outreach Services | 326 W 64th St, Chicago, IL 60621-3114 |
| Daria B Terrell | Orthopedic Surgery | Foundation for Outreach Services | 326 W 64th St, Chicago, IL 60621-3114 |
| Regina Mathews | Nurse Practitioner | Foundation for Outreach Services | 326 W 64th St, Chicago, IL 60621-3114 |
| Bernardo C Livas | Psychiatry | Foundation for Outreach Services | 326 W 64th St, Chicago, IL 60621-3114 |
| Street Address |
326 W 64TH ST |
| City | CHICAGO |
| State | IL |
| Zip | 60621-3114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica L Frith | Nurse Practitioner | Foundation for Outreach Services | 326 W 64th St, Chicago, IL 60621-3114 |
| Vietta Louise Johnson | Orthopedic Surgery | Foundation for Outreach Services | 326 W 64th St, Chicago, IL 60621-3114 |
| Nasreen F Ahmed | Anesthesiology | St Bernard Hospital | 326 W 64th St, St Bernard Anesthesia Group, Chicago, IL 60621-3114 |
| Dilipkumar K Parikh | Cardiovascular Disease (cardiology) | 326 W 64th St, Suite 216, Chicago, IL 60621-3114 | |
| Min Wang | Psychiatry | 326 W 64th St, Chicago, IL 60621-3114 | |
| Daria B Terrell | Orthopedic Surgery | Foundation for Outreach Services | 326 W 64th St, Chicago, IL 60621-3114 |
| Regina Mathews | Nurse Practitioner | Foundation for Outreach Services | 326 W 64th St, Chicago, IL 60621-3114 |
| Tahseen J Siddiqui | Internal Medicine | Tj Siddiqui Inc | 326 W 64th St, Chicago, IL 60621-3114 |
| Krish G Venoo | General Surgery | 326 W 64th St, Chicago, IL 60621-3114 | |
| Charles R Harris | Psychiatry | 326 W 64th St, St Bernard Hospital, Chicago, IL 60621-3114 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Camille Billingslea | Family Medicine | Cook County | 1135 W 69th St, Chicago, IL 60621-1147 |
| Vimarie Rodriguez | Family Medicine | Cook County | 1135 W 69th St, Chicago, IL 60621-1147 |
| Pinit Chiranand | Obstetrics/gynecology | P Chiranand Md Sc | 6853 S Halsted, Chicago, IL 60621-1868 |
| Shivani Patel | Nurse Practitioner | Oak Street Health Physicians Group PC | 850 W 63rd St, Chicago, IL 60621-1902 |
| Christabelle Andrea Cabanilla | Family Medicine | Oak Street Health Physicians Group PC | 850 W 63rd St, Chicago, IL 60621-1902 |
| Anahita Shaeri | Nurse Practitioner | Oak Street Health Physicians Group PC | 850 W 63rd St, Chicago, IL 60621-1902 |
| Gerishma Kunwar Haman | Nurse Practitioner | Oak Street Health Physicians Group PC | 850 W 63rd St, Chicago, IL 60621-1902 |
| Chung M Song | Internal Medicine | 6202 S Halsted St, Chicago, IL 60621-2029 | |
| Clara O Akhigbe | Pediatric Medicine | Clara Akhigbe Md Sc | 6202 S Halsted St, Chicago, IL 60621-2029 |
| Shemeka S Irby | Physician Assistant | Howard Brown Health Center | 641 W 63rd St, Chicago, IL 60621-2032 |
| Find all physicians in zip 60621 | |||
| City | CHICAGO |
| Zip Code | 60621 |
| Specialty | GENERAL SURGERY |
| City + Specialty | CHICAGO + GENERAL SURGERY |
Please comment or provide details below to improve the information on Ryan Malcom.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.